This is the 4th amendment to the original contract. The original contract was to assist DHHS/State Health Information Technology (HIT) Coordinator in preparing the required State HIT Strategic and Operational Plan to meet the requirements of Nevada's ARRA HITECH State Health Information Exchange Cooperative Agreement. This amendment extends the expiration date and expands the scope of work to include deliverables to ensure Nevada is compliant with the ARRA HITECH Health Information Exchange and Health Information Technology requirements.